Evidence in Support of Manual Therapy

presented by Chad Cook, PT, PhD, MBA, FAPTA, FAAOMPT

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Financial: Dr. Cook receives compensation from MedBridge for this course. He is also a research consultant for the Hawkins Foundation of the Carolinas and a consultant for a mobile product for Zimmer. He has produced educational content for Parker Education, Agence EBP (France), and TrustMe - Ed. He is the director of the Duke Center of Excellence in Manual and Manipulative Therapy. He receives book royalties from Pearson Education, is an associate editor for JOSPT, and is the PI for NIH U24 (ForceNET).

Nonfinancial: Dr. Cook is an associate editor with the BJSM, and serves on the editorial board of the JMMT.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 62 Minutes, Learning Assessments: 38 Minutes

Course 2 of the Person-Centered Manual Therapy series, Evidence in Support of Manual Therapy, meticulously explores the extensive body of evidence endorsing the efficacy of the manual therapy approach. This comprehensive course delves into the mechanisms associated with treatments, appraises their clinical effectiveness and cost-effectiveness, and elucidates strategies to achieve carryover of therapeutic effects to benefit patients. Additionally, the course frames what evidence-based manual therapy looks like in clinical practice and describes strategies to enhance patient outcomes and practitioner expertise.

Meet Your Instructor

Chad Cook, PT, PhD, MBA, FAPTA, FAAOMPT

Dr. Cook is a professor at Duke University with a Category A appointment in the Duke Clinical Research Institute and an adjunct appointment in the Department of Population Health Sciences. He is a clinical researcher, physical therapist, and profession advocate with a long history of clinical care excellence and service and academic experience. His passions…

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1. What Is Evidence?

The goal of this chapter is to define how evidence is described in the literature and to report on the hierarchy of evidence that is used to make clinical decisions.

2. Mechanisms of Manual Therapy

Mechanisms are how an intervention works, and they are typically reported at a physiological or psychological level. This chapter outlines the three primary mechanisms associated with manual therapy and discusses the evidence in support of them.

3. Clinical Outcomes and Manual Therapy

The goal of this chapter is to outline some of the evidence that has been published that supports the use of manual therapy with other interventions or by itself. The chapter will discuss the strength of the evidence and will report gaps in information.

4. Cost-Related Outcomes and Manual Therapy

The goal of this chapter is to outline the current state of cost-effectiveness research and manual therapy. The chapter will define cost-effectiveness and discuss the several ways it is measured.

5. What Does Evidence-Based Manual Therapy Look Like?

The goal of this chapter is to describe the suggested practice profile of evidence-based manual therapy and to support the finding with published literature.

6. How Can I Get Carryover Effects for My Patients?

The goal of this chapter is to describe how to foster longer-term effects after the short-term use of manual therapy. This includes the use of augmented home exercise approaches.

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